Chapter 90 Nucleic acid testing

Dai Yunyang said: "It's also a coincidence, both of us are just resting now, otherwise I can't video with you, and it's useless to have a smartphone." ”

Ai Fenfei giggled: "By the way, it's the New Year soon, remember to send money to the old people on both sides and give them New Year's greetings, do you have any preparations for the New Year?"

"What can you prepare? I've been on duty for the Chinese New Year, and I've spent the night in the ward. ”

"Okay, who hasn't been in the ward? It's okay to forget about the New Year when you're busy. It's better than you being on duty, I'm bored when I'm alone! ”

Dai Yunyang said: "I also hope that one of the two of us can stagger and go back to accompany the old man for the New Year!" ”

Yuan Fenfei said: "I just made a video with my mother, and I told her that we can't go back and have to be on duty." She said it's okay, let's take care of ourselves, my dad has her to take care of, don't worry. Hey, I was really troubled by this epidemic, and a good Spring Festival was shattered. I won't tell you, I have to go to work. ”

As he spoke, Ai Fenfei gave Dai Yunyang another flying kiss and hung up the video.

Dai Yunyang put away his phone and was about to go to work when a chubby woman stopped him.

He turned his head and saw that it was Sister Du, the wife of the kidney patient who took the initiative to help him call last time.

Dai Yunyang hurriedly said, "Sister Du, you are here." ”

"yes, my husband is not doing well, I want to ask if you can help?"

"What's wrong?"

"The hospital didn't let my husband get hemodialysis because he had a cough and a fever. The doctor asked him to screen for the new crown first, do a CT, and do nucleic acid. ”

"Oh, that's the rule, so as not to infect other people."

"I understood this, so we did it. After doing a CT scan, he said that there was a shadow in his lungs and asked him to go for a nucleic acid test. However, there are many people who do nucleic acid tests, and the doctor said that they will wait at least a week before they can get the results. However, my husband has to undergo kidney dialysis twice a week, but now he suspects that he has the new crown, and the nephrology department does not let him do dialysis anymore, for fear of infection, he must check the nucleic acid first. If the nucleic acid test is negative, you can continue dialysis. If it is positive, then it will be treated in the new crown isolation ward, and the new crown pneumonia and kidney disease dialysis will be treated together. ”

Dai Yunyang frowned and said: "Shadows in the lungs of patients with kidney disease are not necessarily new crown pneumonia, because the water in the kidneys is not drained cleanly, and it is also likely to infect the lungs and cause pneumonia, which is very common, and it can be cured by using anti-inflammatory measures." ”

Sister Du was very happy and said, "Yes, I also think that my husband can't be the new crown pneumonia." Because he came home every day, everyone in our family was fine except for him who coughed, and there were no symptoms of cough and fever. If it was the new crown, then we were not infected a long time ago? It can be seen that it is not, but the doctor in the nephrology department does not believe it, and has to do a nucleic acid test, saying that it is also for the good of other patients, and it must be investigated, and he will not be allowed to do kidney dialysis. ”

Dai Yunyang felt helpless, nodded and said: "What the doctor in the nephrology department said is not unreasonable, the outbreak of the epidemic is so bad, everything must be careful during the anti-epidemic period." ”

"Be careful, but what about my husband? He couldn't stop kidney dialysis even once! He was supposed to have dialysis three days a week, but then his condition improved and was reduced to twice a week, and he couldn't stop once, and if he stopped, he would die. He should have done it two days ago, but the doctor wouldn't let him do it, and he's not feeling good now. ”

"I still have to get the nucleic acid test results quickly."

"Yes, it will take at least a week before the nucleic acid test results are available, because there are too many people doing nucleic acid tests. I went to several other hospitals, and the results were the same, and in some places the wait was longer. I went to the community hospital near my home, and the community said that they didn't have a test kit for accounting for testing, and only the designated hospital had it. ”

Dai Yunyang said again: "What about other hospitals? Can I do dialysis? I did the dialysis first! ”

"No, other hospitals also require screening to rule out the new crown first. Because he had a cough and fever, and he had an infection in his lungs, he couldn't pass the physical examination. ”

Dai Yunyang thought for a while and said, "Don't worry, I'll contact the nephrology department to see if I can isolate a special ward for new crown patients to do hemodialysis for new crown pneumonia patients, there are not a few such patients." ”

Sister Du said happily: "Thank you, Dr. Dai, I knew you were a good person." I've been waiting here for hours, seeing that you've been busy saving people just now, you're a good person, my husband's life has been saved, and I'll incense you every day. ”

Speaking of this, Sister Du felt that this was too unlucky, so she quickly tore off her mask and spit on the ground twice, "Phew!" He hurriedly put on his mask and said, "Doctor Dai, I don't mean anything else, I just hope that you are safe and healthy, and I want to express my gratitude!" ”

"Don't worry, I'll contact you, it may not be possible, after all, I'm just an attending physician, not a leader."

Dai Yunyang immediately took out his mobile phone to call the nephrology department, he was not very familiar with the director of the nephrology department, so he nodded his friendship. This director is quite arrogant in his impression, usually nostrils facing the sky, and he doesn't care about people. So Dai Yunyang didn't dare to call him directly, but called the nurse's station in the hemodialysis room of the nephrology department.

The nurse was very enthusiastic after hearing his name and asked him what was the matter?

Dai Yunyang said this request, and the nurse agreed, saying that she would definitely report to the director as soon as possible and see what the director said. She also felt that this was what should be done, and presumably the director would agree, after all, they were all serving patients.

Dai Yunyang deliberately pressed the phone on speakerphone, so Sister Du was also listening to it next to her, and it was a series of thanks.

Dai Yunyang said: "You go back first, wait for the news from the nephrology department, see how it is over there, and tell me if you have any problems." But I'm in the intensive isolation ward, you can't come up, if it's urgent, you can go to the second floor to find a nurse and let them talk to me. If you're not in a hurry, just wait for me to get off work, maybe twelve hours later. ”

Sister Du smiled and said, "Doctor Dai, I know you're very busy, why don't I add your WeChat?" If there is anything, you can leave a message on WeChat. ”

Dai Yunyang nodded: "Yes, let's contact on WeChat, there is no need to run around, first, you are tired, second, you have to take care of your husband, and third, this will also avoid cross-infection, after all, our doctors are covered with viruses." ”

"No, no, Dr. Dai, you're really good at laughing."

As she spoke, Sister Du added Dai Yunyang's WeChat. Dai Yunyang felt that this eldest sister Du was so enthusiastic, and when she encountered something, she should still help.

………………

The first thing Dai Yunyang did after going to work, and it was also a routine, was to make ward rounds, inspect the patients he treated one by one, and then adjust the treatment methods and medical orders.

The same day was true, he came to the bedside of Tan Yuanyuan, the mother who worried him the most.

In the past few days, he, along with other doctors on duty, will basically do a lung recruitment re-recruitment on Tan Yuanyuan every few hours to combat her pulmonary edema. At the same time, Xiong Shengnan instructed the nurse to give Tan Yuanyuan a ventilator to suction. Every time she is briefly weaned off the ventilator, it is a test of life and death for Tan Yuanyuan, because the water in her tracheal intubation will come out, and her blood oxygen saturation will approach the terrifying death line of 80%.

The chest X-ray taken by her bedside CT was still white and swollen with pulmonary edema, and there was no hope in sight.